Organization
GARRETT MEDICAL TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WILLMON (PRESIDENT)
(301) 334-5100
Entity
Organization
Contact information
Practice address
103 SHENANDOAH AVE, OAKLAND, MD 21550-2913
(301) 334-6405
(301) 334-6405
Mailing address
PO BOX 728, OAKLAND, MD 21550-4728
(301) 334-5100
(301) 533-0888
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
40
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145222000
—
WV
05
—
407752100
—
MD
01
—
TR36
BC/MD
—
Enumeration date
02/23/2006
Last updated
11/03/2011
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